Individual
JASON MICHAEL RICHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1101 N ALLEN ST, ROBINSON, IL 62454-1168
(618) 544-8500
Mailing address
5687 N 850TH ST, ROBINSON, IL 62454-6639
(618) 554-1450
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209028055
IL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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